Evidence map›Paper›PMID 37295942›Full record

ArticleOccupational and environmental medicine2023

Length of employment in workplaces handling hazardous chemicals and risk of cancer among Japanese men.

Kota Fukai, Yuko Furuya, Shoko Nakazawa, Noriko Kojimahara, Keika Hoshi, Akihiro Toyota, Masayuki Tatemichi

Open access · hybridAbstract read
In one paragraph

Article in Occupational and environmental medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Kota FukaiDepartment of Preventive Medicine, Tokai University School of Medicine, Isehara, Japan kota229@tokai.ac.jp.ORCID 0000-0002-8319-8467
Yuko FuruyaDepartment of Preventive Medicine, Tokai University School of Medicine, Isehara, Japan.
Shoko NakazawaDepartment of Preventive Medicine, Tokai University School of Medicine, Isehara, Japan.
Noriko KojimaharaDepartment of Public Health, Shizuoka Graduate University of Public Health, Shizuoka, Japan.
Keika HoshiCenter for Health Informatics Policy, National Institute of Public Health, Wako, Japan.ORCID 0000-0003-1912-0718
Akihiro ToyotaChugoku Rosai Hospital Research Center for the Promotion of Health and Employment Support, Japan Organization of Occupational Health and Safety, Hiroshima, Japan.
Masayuki TatemichiDepartment of Preventive Medicine, Tokai University School of Medicine, Isehara, Japan.ORCID 0000-0002-5051-8591
Tokai University · JPChugoku Rosai Hospital · JPNational Institute of Public Health · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIn Japan, the risk of developing cancer among workers employed in workplaces where chemical substances are handled is unclear. This study aimed to assess the association between cancer risk and employment in workplaces handling hazardous chemicals.

methodsThe Inpatient Clinico-Occupational Survey of the Rosai Hospital Group data of 120 278 male patients with incident cancer and 217 605 hospital controls matched for 5-year age group, hospital (34 hospitals) and year of admission (2005-2019) were analysed. Cancer risk in relation to lifetime employment in workplaces using regulated chemicals was assessed while controlling for age, region and year of diagnosis, smoking, alcohol consumption and occupation. Further analysis stratified by smoking history was performed to examine interaction effects.

resultsIn the longest group of employment in tertiles, ORs were increased for all cancers (OR=1.13; 95% CI: 1.07 to 1.19) and lung (OR=1.82; 95% CI: 1.56 to 2.13), oesophageal (OR=1.73; 95% CI: 1.18 to 2.55), pancreatic (OR=2.03; 95% CI: 1.40 to 2.94) and bladder (OR=1.40; 95% CI: 1.12 to 1.74) cancers. Employment of 1+ years was associated with risk for lung cancer; 11+ years for pancreatic and bladder cancers; and 21+ years for all cancers and oesophageal cancer. These positive relationships were particularly obvious among patients with a history of smoking; however, no significant interaction between smoking and length of employment was observed.

conclusionsThere is a high risk of cancer among workers, especially smokers, employed in workplaces handling regulated chemicals in Japan. Thus, future measures for chemical management in workplaces are needed to prevent avoidable cancers.

Indexed as

Hazardous SubstancesNeoplasmsWorkplaceCase-Control StudiesEast Asian PeopleHumansMaleRisk FactorsSmokingHazardous SubstancesChemical Hazard ReleaseEpidemiologyMedical OncologyRisk assessmentSmoking

Identifiers

PMID37295942
PMCPMC10423551
OpenAlexW4380028817

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.